[Psychological safety for health care staff: What? Why? How?].

Lakartidningen

Docent, specialistläkare, Astrid Lindgrens barnsjukhus; Karolinska universitetssjukhuset; Medi-cal Management Centrum, Karolinska institutet.

Published: August 2023

AI Article Synopsis

  • Psychological safety means feeling safe to take risks and speak up at work without being afraid of getting punished.
  • In health care, when this safety is low, it can lead to mistakes that can harm patients.
  • Leaders play a big role in creating psychological safety by encouraging team participation and responding positively to their staff's ideas and concerns.

Article Abstract

Psychological safety refers to an individual's experience of the work environment as conducive to interpersonal risk-taking without risk for reprisals. Fear of reprisals has been well documented in health care, including in Sweden. In the literature and our teaching, we have consistently found that when psychological safety is low, it can lead providers to violate the basic tenet "first, do no harm".  Psychological safety resides at the team level. It is established and maintained by the leader. Several contributing leadership qualities and behaviors have been identified. Leaders can train how to support psychological safety by how they choose to set the stage, invite participation, and respond productively when they interact with their staff. Leaders may experience this as challenging and anxiety-provoking. However, leaders need to actively improve psychological safety in care teams to support learning, improvement, and co-creation in health and care.

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